Active NPI
Connect Marriage and Family Therapy Services
- Marriage & Family Therapist
- East Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001266
- Legal business name
- CONNECT MARRIAGE AND FAMILY THERAPY SERVICES
- Practice address
- 5900 N Burdick St Ste 102a
East Syracuse, NY 13057-9477 - Phone
- (315) 400-2483
- NPI assigned
- Aug 26, 2016
- Last updated
- Jan 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brynn Rogers Burns, MFT
- Title
- President
- Phone
- (315) 400-2483
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001266 | NY | Primary |
Addresses
Primary practice location
5900 N Burdick St Ste 102a
East Syracuse, NY 13057-9477
Mailing address
3 Drumlins Ter
Syracuse, NY 13224-2217
Phone (315) 400-2483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124490362 | Other | NY | ALL OTHER INSURANCES |
National Provider Directory
National Provider DirectoryLocations
5900 N Burdick St
Ste 102A
East Syracuse, NY 13057
Phone (315) 400-2483
5900 N Burdick St
Ste 102B
East Syracuse, NY 13057
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- East Syracuse, NY
- NPI 1821498452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609804800000",
"number": "1992251318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 DRUMLINS TER",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132242217",
"telephone_number": "315-400-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 N BURDICK ST STE 102A",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579477",
"telephone_number": "315-400-2483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECT MARRIAGE AND FAMILY THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-26",
"last_updated": "2021-01-05",
"certification_date": "2021-01-04",
"status": "A",
"authorized_official_last_name": "ROGERS BURNS",
"authorized_official_first_name": "BRYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-400-2483",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL OTHER INSURANCES",
"identifier": "1124490362",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.